复发性溃疡性睑管状大汗腺腺瘤酷似眼睑恶性肿瘤：1例报告及文献复习
Recurrent ulcerative tubular apocrine adenoma of the eyelid mimicking eyelid malignancy: A case report and literature review.
作者信息
Asiri Ashwaq Y, Alsulaiman Hamad, Alkatan Hind M, Althaqib Rawan N
机构信息
Department of Ophthalmology, College of Medicine, King Khalid University, Abha, Saudi Arabia; King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2025 Feb;127:110929. doi: 10.1016/j.ijscr.2025.110929. Epub 2025 Jan 23.
INTRODUCTION
The eyelid is a common site for cutaneous tumors; however, tubular apocrine adenoma is a rare presentation. The clinical presentation is variable and surgical excision is effective with low risk for recurrence.
PRESENTATION OF CASE
We report a 40-year-old female with recurrent tubular apocrine adenoma of eyelid mimicking eyelid malignancy. Diagnostic incisional biopsy demonstrated dermal benign tubular-like proliferations lined by bilayer of apocrine epithelium within a background of hyalinized stroma.
DISCUSSION
Isolated tubular apocrine adenoma of the eyelid is rare with individual cases being found in the literature. Previously reported recurring apocrine eyelid tumors were involving older patients than our case and the recurrence occurred within 2-3 years.
CONCLUSION
Our case is unique as the patient was younger and the recurrence occurred after a longer period. Our report provides insight into the clinical features, histopathologic characteristics and treatment of tubular apocrine adenoma of the eyelid.
引言
眼睑是皮肤肿瘤的常见发生部位；然而，管状大汗腺腺瘤是一种罕见的表现形式。其临床表现多样，手术切除有效且复发风险低。
病例介绍
我们报告一名40岁女性，患有复发性眼睑管状大汗腺腺瘤，类似眼睑恶性肿瘤。诊断性切开活检显示真皮内有良性管状样增生，由大汗腺上皮双层排列，周围是玻璃样变的间质。
讨论
孤立性眼睑管状大汗腺腺瘤罕见，文献中有个别病例报道。先前报道的复发性大汗腺眼睑肿瘤患者年龄比我们的病例大，且复发发生在2至3年内。
结论
我们的病例很独特，因为患者较年轻且复发发生在较长时间之后。我们的报告为眼睑管状大汗腺腺瘤的临床特征、组织病理学特征及治疗提供了见解。
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